关键词: 胰床扩创引流, 后腹腔镜, 重症急性胰腺炎

Abstract: ［Abstract］ Objective To report an experience of retroperitoneal laparoscopic dilatation and drainage of pancreatic bed combine with retroperitoneal pancreatic necrosectomy in the treatment of severe acute pancreatitis and sum up the experiences. Methods The clinical data of 4 cases of severe acute pancreatitis in our hospital from 2015- 2017 were analyzed retrospectively. Two cases treated with retroperitoneal laparoscopic pancreatic lavage drainge, and 2 cases with retroperitoneal laparoscopic pancreatic lavage drainge and pancreatic necrotic tissue clearance（MARPN）. Results One patient discontinued surgery due to a loss of pneumoperitoneum after intraoperative peritoneal rupture. The remaining 3 patients were successfully completed the operation. One patient had postoperative pancreatic fistula, and a pseudocyst around the pancreas was formed and resolved spontaneously through conservative treatment. Conclusion It is worthy of further study that retroperitoneal laparoscopic dilatation and drainage of pancreatic bed in the early stage of SAP, whether to plus with MARPN decided by the actual situation.

Key words: retroperitoneal laparoscopy, severe acute pancreatitis, dilatation and drainage of pancreatic bed